Depression, posttraumatic stress and relationship distress in parents of very preterm infants

To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very preterm (VPT) infants ( < 32 weeks). Mothers (n = 323) and fathers (n = 237) completed self-repo...

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Main Authors: Winter, L., Colditz, P., Sanders, M., Boyd, Roslyn, Pritchard, M., Gray, P., Whittingham, K., Forrest, K., Leeks, R., Webb, L., Marquart, L., Taylor, K., Macey, J.
Format: Journal Article
Published: Springer 2018
Online Access:http://hdl.handle.net/20.500.11937/66869
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author Winter, L.
Colditz, P.
Sanders, M.
Boyd, Roslyn
Pritchard, M.
Gray, P.
Whittingham, K.
Forrest, K.
Leeks, R.
Webb, L.
Marquart, L.
Taylor, K.
Macey, J.
author_facet Winter, L.
Colditz, P.
Sanders, M.
Boyd, Roslyn
Pritchard, M.
Gray, P.
Whittingham, K.
Forrest, K.
Leeks, R.
Webb, L.
Marquart, L.
Taylor, K.
Macey, J.
author_sort Winter, L.
building Curtin Institutional Repository
collection Online Access
description To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very preterm (VPT) infants ( < 32 weeks). Mothers (n = 323) and fathers (n = 237) completed self-report measures on demographic and outcome variables at 38 days (SD = 23.1, range 9–116) postpartum while their infants were still hospitalised. Of mothers, 46.7% had a moderate to high likelihood of depression, 38.1% had moderate to severe symptoms of PTS, and 25.1% were in higher than average relationship distress. The corresponding percentages in fathers were 16.9, 23.7, and 27%. Depression was positively associated with having previous children (p = 0.01), speaking little or no English at home (p = 0.01), financial stress (p = 0.03), and recently accessing mental health services (p = 0.003) for mothers, and financial stress (p = 0.005) and not being the primary income earner (p = 0.04) for fathers. Similar associations were found for symptoms of PTS and relationship distress. Being in higher relationship distress increased the risk of depression in both mothers (p < .001) and fathers (p = 0.03), and PTS symptoms in mothers (p = 0.001). For both mothers and fathers, depression was associated with more severe PTS symptoms (p < .001). Fathers of VPT infants should be screened for mental health problems alongside mothers, and postpartum parent support programs for VPT infants should include strategies to improve the couple relationship.
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spelling curtin-20.500.11937-668692018-08-07T02:04:29Z Depression, posttraumatic stress and relationship distress in parents of very preterm infants Winter, L. Colditz, P. Sanders, M. Boyd, Roslyn Pritchard, M. Gray, P. Whittingham, K. Forrest, K. Leeks, R. Webb, L. Marquart, L. Taylor, K. Macey, J. To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very preterm (VPT) infants ( < 32 weeks). Mothers (n = 323) and fathers (n = 237) completed self-report measures on demographic and outcome variables at 38 days (SD = 23.1, range 9–116) postpartum while their infants were still hospitalised. Of mothers, 46.7% had a moderate to high likelihood of depression, 38.1% had moderate to severe symptoms of PTS, and 25.1% were in higher than average relationship distress. The corresponding percentages in fathers were 16.9, 23.7, and 27%. Depression was positively associated with having previous children (p = 0.01), speaking little or no English at home (p = 0.01), financial stress (p = 0.03), and recently accessing mental health services (p = 0.003) for mothers, and financial stress (p = 0.005) and not being the primary income earner (p = 0.04) for fathers. Similar associations were found for symptoms of PTS and relationship distress. Being in higher relationship distress increased the risk of depression in both mothers (p < .001) and fathers (p = 0.03), and PTS symptoms in mothers (p = 0.001). For both mothers and fathers, depression was associated with more severe PTS symptoms (p < .001). Fathers of VPT infants should be screened for mental health problems alongside mothers, and postpartum parent support programs for VPT infants should include strategies to improve the couple relationship. 2018 Journal Article http://hdl.handle.net/20.500.11937/66869 10.1007/s00737-018-0821-6 Springer restricted
spellingShingle Winter, L.
Colditz, P.
Sanders, M.
Boyd, Roslyn
Pritchard, M.
Gray, P.
Whittingham, K.
Forrest, K.
Leeks, R.
Webb, L.
Marquart, L.
Taylor, K.
Macey, J.
Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title_full Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title_fullStr Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title_full_unstemmed Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title_short Depression, posttraumatic stress and relationship distress in parents of very preterm infants
title_sort depression, posttraumatic stress and relationship distress in parents of very preterm infants
url http://hdl.handle.net/20.500.11937/66869